Health insurance is ever changing, and it’s important to work with professionals who are up-to-date with these changes. Health Insurance is sometimes referred to as Major Medical Health Insurance or just Major Medical.
You might be asking, “What is health insurance?” Health insurance is a type of insurance coverage that pays for medical and surgical expenses incurred by the insured. Health insurance usually pays the heath care provider, such as a doctor or hospital, directly. The insured will have a deductible and possibly co-pays to satisfy before benefits are paid by the health insurance company to the provider. Premiums for this coverage may be paid by an employer or may be paid directly by an individual. Coverage offered and paid by an employer is called Group Health Insurance whereas health insurance coverage obtained and paid by an individual is referred to as Individual Health Insurance.
Individual Health Insurance
Most individuals and families, not on a group plan, will participate with an ACA – Affordable Care Act plan. In recent years, we have seen an exodus of the large health insurance companies from this type of coverage. Blue Cross Blue Shield of Texas is still currently an option as well as several other smaller health insurance companies offered through Healthcare.gov. Be advised, if you set up an account through Healthcare.gov, be sure to set up an email to be used ONLY for Healthcare.gov.
Short-term Health Insurance
At Fulshear Insurance Group, Inc., we know health insurance premiums for ACA policies are very expensive and not affordable for everyone. That’s why we also offer Short-term health insurance policies or Temporary plans for individuals and families. We have seen a lot of changes since President Obama left office in January 2017. Right before leaving office, he signed a mandate to change the maximum term for a short-term policy from 360 days to 90 days. This was effective April 1, 2017.
In February, 2018, President Trump signed an order to change the short-term plans back to the maximum of 360 days. This doesn’t occur immediately, but it does follow a process. We expect to see the changes be available to the consumer by January 1, 2019. When these orders are signed, it requires the insurance company to make internal changes including to their computer software systems. It’s not a simple process.
Short-term health insurance policies are not a good option if you have pre-existing conditions, pregnant or expect to be pregnant during the term of the short-term policy. If you have been treated for previous heart attack, stroke, diabetes or cancer, then a short-term policy is not an option for you.
Short-term health insurance policies are designed to be catastrophic policies that cover you in the event of an unexpected illness or accident. It isn’t for your day-to-day doctor visit even though you are able to enjoy the contract price to be applied towards your deductible. Short-term policies are PPO’s – Preferred Provider Organizations, and typically, the cost is less expensive than the ACA HMO option for individuals.
Group Health Insurance
Fulshear Insurance Group, Inc. offers group health insurance from several carriers. Once we have obtained the necessary information about your company and employees, we are able to shop the rates with our carriers. Companies with as few as two employees (including the owner) may qualify for a group health policy. Fulshear Insurance Group, Inc. works to make the process as easy as possible.
Fulshear Insurance Group, Inc. is committed to educating our clients to help you make the best decision for your health insurance needs moving forward. We also offer a type of “gap” insurance coverage that fills in the gap between your wallet and meeting your deductible. There are very affordable options to help you mitigate the damage to your finances in the event of a tragic accident or sudden health event. The gap insurance policies are available to groups as well as individuals and families.
Supplemental Health Insurance
Whether you are participating with Individual Health Insurance or Group Health Insurance, you have the option of also choosing Supplemental Health Insurance to soften the blow to your finances in the event of a health event such as a major accident, cancer, heart attack or stroke.
Gap Insurance helps cover our deductible in the event of an accident or hospitalization. Pre-existing conditions are not covered. Accidents are covered as long as the policy is in force when the accident occurs. Hospitalization due to sickness has a 30 day waiting period for coverage. Wouldn’t it be nice to know when an accident occurs, you will be responsible for paying $250 instead of $5,000? That’s the peace of mind offered by a Gap Insurance policy! Instead of using the money you have saved for your vacation to pay for an unexpected health event, let your Gap Insurance take care of the majority of the cost. You are going to need that vacation when this health event is behind you!
Cancer Insurance is very popular and one of the most important supplemental coverages as cancer does not discriminate on who it effects. Whether cancer runs in your family or not, we are all at risk of being diagnosed with this dreadful disease. American Cancer Society statistics show approximately 1 in 2 men and approximately 1 in 3 women will be diagnosed with cancer at some point during their lives.
Even if a person is on Medicare or has the best group health insurance available, their finances will still be impacted. Why not mitigate your risk with a Cancer policy? We have several carriers including Aflac, NGIC – National General Insurance, and United Healthcare that offer a variety of cancer coverage options. Give Fulshear Insurance Group, Inc. a call today to discuss the best option for you. Pre-existing conditions are not covered, but that does not mean you have never had cancer. You will want to call us to discuss the options available for you!
Dental Insurance is another popular coverage. It’s imperative to take care of our teeth, and dental insurance helps us do just that. With most dental policies, preventive care ie: teeth cleaning can be used right away, however for basic or major services, there is usually a waiting period. It’s important to put your coverage in place now, so it’s available when you need it the most.
The coverage most common is cleaning, x-rays, fillings, extractions, root canals, crowns and bridges. Orthodontics is not covered. Fulshear Insurance Group, Inc. offers multiple carriers to make sure you have the protection you need for you and your family.